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1720744766
INJUNG KO
BAYSIDE, NY
NPI
1720744766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY F310572)
Enumeration Date
2021-11-15
Last Update Date
2023-04-05
Business Address
INJUNG KO NP
21102 73RD AVE
BAYSIDE, NY 11364-2855
Phone number: 347-421-4789
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Mailing Address
INJUNG KO NP
211-2 73RD AVE
BAYSIDE, NY 11364
Phone number: 347-421-4789
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